Radiological Follow-Up

Chapter

Abstract

After a moderate to severe head trauma, neuroimaging is mandatory for visualising the degree of traumatic brain injury (TBI) as well as the nature and location of the lesions in the acute phase and in the follow-up period as well (Duhaime et al. 2010). Imaging is important in triaging patients for acute intervention, for follow-up, and for evaluation of the long-term outcome. In acute and subacute follow-up, imaging plain computed tomography (CT) is the most important modality. The need for MRI in the acute phase is generally of less importance, but MRI can be of value and should be utilised whenever a clinical situation remains unclear after CT. Also, digital subtraction angiography (DSA) should be utilised whenever a vascular injury needs to be elucidated, especially if endovascular therapy is indicated.

Keywords

Traumatic Brain Injury Digital Subtraction Angiography Cavernous Sinus Severe Traumatic Brain Injury Traumatic Brain Injury Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Avarello JT, Cantor RM (2007) Pediatric major trauma: an approach to evaluation and management. Emerg Med Clin North Am 25:803–836PubMedCrossRefGoogle Scholar
  2. Bigler ED, Johnson SC, Blatter DD (1999) Head trauma and intellectual status: relation to quantitative magnetic resonance imaging findings. Appl Neuropsychol 6:217–225PubMedCrossRefGoogle Scholar
  3. Chang EF, Meeker M, Holland MC (2006) Acute traumatic intraparenchymal hemorrhage: risk factors for progression in the early post-injury period. Neurosurgery 58:647–656PubMedCrossRefGoogle Scholar
  4. Cihangiroglu M, Ramsey RG, Dohrmann GJ (2002) Brain injury: analysis of imaging modalities. Neurol Res 24:7–18PubMedCrossRefGoogle Scholar
  5. Duhaime AC et al (2010) Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil 91:1661–1666PubMedCrossRefGoogle Scholar
  6. Feiz-Erfan I, Horn EM, Theodore N et al (2007) Incidence and pattern of direct blunt neurovascular injury associated with trauma to the skull base. J Neurosurg 107:364–369PubMedCrossRefGoogle Scholar
  7. Gean AD, Fischbein NJ (2010) Head trauma. Neuroimaging Clin N Am 20:527–556PubMedCrossRefGoogle Scholar
  8. Gentry LR (1994) Imaging of closed head injury. Radiology 191:1–17PubMedGoogle Scholar
  9. Hoelper BM et al (2000) Effect of intracerebral lesions detected in early MRI on outcome after acute brain injury. Acta Neurochir Suppl 76:265–267PubMedGoogle Scholar
  10. Hofman PA et al (2001) MR imaging, single-photon emission CT, and neurocognitive performance after mild traumatic brain injury. Am J Neuroradiol 22:441–449PubMedGoogle Scholar
  11. Jenkins A, Teasdale G, Hadley MD et al (1986) Brain lesions detected by magnetic resonance imaging in mild and severe head injuries. Lancet 2:445–446PubMedCrossRefGoogle Scholar
  12. Krings T, Geibprasert S, Lasjaunias PL (2008) Cerebrovascular trauma. Eur Radiol 18:1531–1545PubMedCrossRefGoogle Scholar
  13. Lee TT et al (1997) Follow-up computerized tomography (CT) scans in moderate and severe head injuries: correlation with Glasgow Coma Scores (GCS), and complication rate. Acta Neurochir (Wien) 139:1042–1047CrossRefGoogle Scholar
  14. Lescot T, Galanaud D, Puybasset L (2009) Exploring altered consciousness states by magnetic resonance imaging in brain injury. Ann N Y Acad Sci 1157:71–80PubMedCrossRefGoogle Scholar
  15. Manolakaki D et al (2009) Early magnetic resonance imaging is unnecessary in patients with traumatic brain injury. J Trauma 66:1008–1012PubMedCrossRefGoogle Scholar
  16. Marion DW (2006) Evidenced-based guidelines for traumatic brain injuries. Prog Neurol Surg 19:171–196PubMedCrossRefGoogle Scholar
  17. Quayle KS, Jaffe DM, Kuppermann N et al (1997) Diagnostic testing for acute head injury in children: when are head computed tomography and skull radiographs indicated? Pediatrics 99:E11PubMedCrossRefGoogle Scholar
  18. Rao AS, Makaroun MS, Marone LK et al (2011) Long-term outcomes of internal carotid artery dissection. J Vasc Surg 54(2):370–374, Epub ahead of printPubMedCrossRefGoogle Scholar
  19. Scheid R et al (2007) Comparative magnetic resonance imaging at 1.5 and 3 Tesla for the evaluation of traumatic microbleeds. J Neurotrauma 24:1811–1816PubMedCrossRefGoogle Scholar
  20. Schutzman SA, Barnes P, Duhaime AC et al (2001) Evaluation and management of children younger than two years old with apparently minor head trauma: proposed guidelines. Pediatrics 107:983–993PubMedCrossRefGoogle Scholar
  21. Sehgal V, Delproposto Z, Haacke EM et al (2005) Clinical applications of neuroimaging with susceptibility-weighted imaging. J Magn Reson Imaging 22:439–450PubMedCrossRefGoogle Scholar
  22. Smith JS et al (2007) The role of early follow-up computed tomography imaging in the management of traumatic brain injury patients with intracranial hemorrhage. J Trauma 63:75–82PubMedCrossRefGoogle Scholar
  23. Solacroup JC, Tourrette JH (2003) Assessing and predicting recovery from a coma following traumatic brain injury: contribution of neuroradiological data. Ann Readapt Med Phys 46:104–115PubMedCrossRefGoogle Scholar
  24. Soustiel JF et al (2008) Perfusion-CT for early assessment of traumatic cerebral contusions. Neuroradiology 50:189–196PubMedCrossRefGoogle Scholar
  25. Stein SC et al (1992) Delayed brain injury after head trauma: significance of coagulopathy. Neurosurgery 30:160–165PubMedCrossRefGoogle Scholar
  26. Stein SC et al (1993) Delayed and progressive brain injury in closed-head trauma: radiological demonstration. Neurosurgery 32:25–30PubMedCrossRefGoogle Scholar
  27. Sturzenegger M (1995) Spontaneous internal carotid artery dissection: early diagnosis and management in 44 patients. J Neurol 242:231–238PubMedCrossRefGoogle Scholar
  28. Tong KA, Ashwal S, Holshouser BA et al (2003) Hemorrhagic shearing lesions in children and adolescents with posttraumatic diffuse axonal injury: improved detection and initial results. Radiology 227:332–339PubMedCrossRefGoogle Scholar
  29. Tong KA, Ashwal S, Holshouser BA et al (2004) Diffuse axonal injury in children: clinical correlation with hemorrhagic lesions. Ann Neurol 56:36–50PubMedCrossRefGoogle Scholar
  30. White CL, Griffith S, Caron JL (2009) Early progression of traumatic cerebral contusions: characterization and risk factors. J Trauma 67:508–514PubMedCrossRefGoogle Scholar
  31. Zhao WY, Krings T, Alvarez H et al (2007) Management of spontaneous haemorrhagic intracranial vertebrobasilar dissection: review of 21 consecutive cases. Acta Neurochir (Wien) 149:585–596CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of NeuroradiologyAarhus University HospitalAarhus CDenmark

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